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Organization
YELLOWSTONE CARE CENTER, INC.
Active
Organization
YELLOWSTONE CARE CENTER, INC.
Active
Other names
dba Yellowstone Group Homes - #5
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MCARTHUR (CFO)
(503) 362-5235
Entity
Organization
Contact information
Practice address
4541 BURKE CIR, IDAHO FALLS, ID 83406-8235
(208) 542-2924
Mailing address
3155 RIVER RD S STE 100, SALEM, OR 97302-9819
(503) 362-5235
(503) 585-3267
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
ID
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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